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General NPI Number Information
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NPI Number | 1306191994
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Entity Type | Individual
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Provider Name | JORDANA NOREEN CHETA MD
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Gender | Female
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Dates
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Enumeration Date | 07/19/2012
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Last Update Date | 10/19/2024
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Provider Practice Location Address
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Address Line | 2500 N TENAYA WAY
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City | LAS VEGAS
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State | NV
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Zip | 89128-0482
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Country | US
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Telephone | 702-333-3333
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Fax |
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Provider Business Mailing Address
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Address Line | 286 ELDER VIEW DR
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City | LAS VEGAS
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State | NV
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Zip | 89138-5011
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Country | US
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Telephone | 702-504-0283
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Fax | 702-483-6202
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 0101257972
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 17559
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 17559
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License Number State | NV
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